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Request for Transportation Under Act 372


  1. Complete a separate form for each student.
    Note: This form must be submitted no later than July 2nd, or transportation cannot be guaranteed by the start of school.
  2. If approved, you will receive a confirmation e-mail verifying that your request has been approved.
  3. New residents or change of residency to Souderton Area School District, please contact our Registration Office at 215-723-6061.

* = required
Student's First Name:*
Student's Last Name:*
Student's Date of Birth:*
Home Address:*
Street number and name:

Name of Non-Public School Attending:*
If OTHER school attending, please indicate name of non-public school:
School Year Attending:* Current year (i.e. student will be attending in 2023-2024)
Upcoming school year (i.e. student will attend at start of 2024-2025)
Approximately how many miles does the above named child live from their attending school?*
Is the need for AM, PM or both?* AM
Both AM and PM
Did this child receive transportation from Souderton last year? If yes, please indicate bus or van number if known.* Yes. Please indicate bus or van number if known:
Parent/Guardian 1 Name:*
Parent/Guardian 1 Phone Number:*
Parent/Guardian 1 E-mail Address:*
Parent/Guardian 2 Name:
Parent/Guardian 2 Phone Number:
Parent/Guardian 2 E-mail Address:
I acknowledge that by checking this box this document is deemed signed.